Department of Physiology, Anatomy, and Genetics, University of Oxford, Oxford OX1 3PT, UK.
Trends Genet. 2017 Apr;33(4):256-265. doi: 10.1016/j.tig.2017.01.009. Epub 2017 Mar 6.
The contribution of epistasis to human disease remains unclear. However, several studies have now identified epistatic interactions between common variants that increase the risk of a neuropsychiatric disorder, while there is growing evidence that genetic interactions contribute to the pathogenicity of rare, multigenic copy-number variants (CNVs) that have been observed in patients. This review discusses the current evidence for epistatic events and genetic interactions in neuropsychiatric disorders, how paradigm shifts in the phenotypic classification of patients would empower the search for epistatic effects, and how network and cellular models might be employed to further elucidate relevant epistatic interactions.
遗传上位效应对人类疾病的贡献仍不清楚。然而,现在有几项研究已经确定了增加神经精神障碍风险的常见变体之间的上位相互作用,而越来越多的证据表明,遗传相互作用导致了在患者中观察到的罕见、多基因拷贝数变异 (CNV) 的致病性。这篇综述讨论了神经精神疾病中上位事件和遗传相互作用的现有证据,患者表型分类的范式转变将如何增强对上位效应的搜索,以及网络和细胞模型如何用于进一步阐明相关的上位相互作用。